Aged and Community Care

Australians are now living longer than ever before. Around 13 per cent of the population in the Brisbane North PHN region (more than 124,000 people) is aged 65 years and over and this is expected to grow as a proportion over the coming decades. 

The PHN’s Aged and Community Care programs aim to ensure our region is prepared to meet the challenges arising from increased demand for health and aged care services among older Australians. 

We have implemented two aged care consortia as part of our strategy to lead reform and engagement within the local community aged care sector. Read more about our aged care consortium model.

Geriatric Outreach Assessment Service

The Geriatric Outreach Assessment Service (GOAS) is a partnership between Brisbane North PHN and Metro North Hospital and Health Service (MNHHS) that commenced in June 2017.

Based at The Prince Charles Hospital (TPCH), the GOAS provides a specialised geriatric outreach service to acutely unwell residents from Residential Aged Care Facilities (RACFs).

Read more about our Geriatric Outreach Assessment Service.

The Yellow Envelope

The Yellow Envelope is a clinical handover tool designed for use within the North Brisbane and Moreton Bay catchment to support the transfer of aged care residents to and from hospital.

Read more about our the Yellow Envelope.

Commonwealth Home Support Program

Healthy@Home is a consortium of 19 organisations committed to providing high quality community aged care services to older people in Brisbane’s northern suburbs and the Moreton Bay area.

Brisbane North PHN leads this consortium, which receives funding from the Australian Government Department of Health under the Commonwealth Home Support Program.

The Healthy@Home consortium provides community-based care services to people aged 65 years and over (or aged 50 years and over for Aboriginal and Torres Strait Islander people) to enhance their independence and avoid or delay entry into residential aged care.

Available services include domestic assistance, personal care, social support, , nursing, allied health, advocacy and transport. To access services, contact My Aged Care on 1800 200 422 or visit 

For more information about the Healthy@Home consortium, please view our YouTube video (above) or see our consortium profile.

The Australian Centre for Health Services Innovation (AusHSI) at the Queensland University of Technology evaluated the Healthy@Home consortium and found that it had achieved efficiency gains of close to 30 per cent. Download the AusHSI report (Nov 2015).

Aged care forums and sector development

Brisbane North PHN’s Community Care team supports providers to identify priorities for continuous improvement and creates opportunities for them to work together to increase their capacity to respond to client needs.

Our annual and quarterly aged care forums are well attended by a diverse range of sector representatives and this helps them to support each other in meeting the challenges of an evolving and complex aged care environment. To learn more or to register, please see our aged care events.

The Aged Care Transition Collaborative is a key project which aims to enhance the patient journey between acute and community sector by improving communication and developing systems and processes to improve collaboration. Read more.

The Brisbane North Allied Health Collaborative involves allied health providers from private practice, community organisations and the Metro North Hospital and Health Service. It aims to develop a collaborative model that can be used to provide peer development support and improve communication and partnerships between acute, community and allied health providers. Read more.

For more information contact

Regional Assessment Service 

The Australian Government has contracted a consortium of seven local community care providers, led by Brisbane North PHN, to operate a Regional Assessment Service (RAS). To find out more about Brisbane North PHN's RAS consortium, please view our information video:

The RAS provides personalised assessments in the Brisbane South, Brisbane North and Caboolture regions to assess eligibility for aged care services. To arrange an aged care assessment, please call the My Aged Care gateway 1800 200 422 or go to:

If you would like further information about Brisbane North PHN’s RAS consortium, please phone our Community Care team on 07 3630 7307 or email  

More information about the Australian Government’s aged care reforms is available on the Department of Health's Ageing and Aged Care website.

New five year healthcare plan for older people

To support Brisbane North’s growing community of people aged 65 and over, Brisbane North PHN in collaboration with Metro North Hospital and Health Service (MNHHS), has developed a new five year healthcare plan for older people.

This plan will guide the way healthcare services are delivered to this group of people in our community and represents a commitment between the PHN and MNHHS to improve the coordination, integration and provision of care services to support the health and wellbeing of older people to help them stay healthy and at home.